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The
approach to male fertility management has changed over the last few years.
Patients who had compromised semen samples had to undergo years of medication
and surgical maneuvers and only few patients benefited. Now,with advancements
in ART techniques, conventional methods of treating male infertility has
been replaced by ICSI, a proven and wholly acclaimed scientific procedure.
This
revolutionary technique performed by us has given fresh hope to many men
who suffer
from obstructive azoospermia, conditions like congenital absence of Vas,
testicular dysfunction, Testicular atropy, sertolicell only syndrom, maturation
arrest. A couple can realise their dream of having their own child with
the help of micromanipulation technique.
ICSI
is indicated when:
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Few sperms are available
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No sperms are available
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IVF is not possible
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Unexplained fertilization failure
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Low fertilization in previous IVF cycles
90%
of patients with azoospermia can be benefited by ICSI, after confirming
the presence of sperms in the testicular biopsy. In this procedure, eggs
are retrieved (as in IVF) from the female partner and under an inverted
microscope each egg is injected with a single sperm isolated from the
male partner’s semen sample by MESA/TESE/PESA Broadly in patents with
obstructive azoospermia, we are able to get enough sperm for ICSI. Patients
with Non-obstructive azoospermia like Mumps orchitis, testicular disfunction,
history of long standing ailments, during anticancer drug etc., See box
for reference.

| MALE
PARAMETER |
TREATMENT
OPTION
|
Count<20mill/ml,>19mill/ml
Motility RLP (active motile sperms),>15%
Morphology>4% (Kruger’s Strict criteria) |
IUI
(at least 1patent fallopian
tube may be done with controlled
ovarian stimulation for better results.
|
Count<10mill/ml,
>5mill/ml
Motility RLP (active motile sperms),>15%
Morphology>2% (Kruger’s strict criteria) |
IUI
(Pooled Frozen Samples)
(if loss in freezing is not too high)
IVF
|
Count
<5 mill/ml; Poor RLP
Motility RLP (active motile sperms),<5%
Morphology<2% (Kruger’s strict criteria)
|
IVF
(MICRO DROP)/ICSI
Judicious Semen Processing.
Controlled Ovarian Hyper- Stimulation.
|
Cryptozoospermia,
Mecrozoospermia
Non-ejaculated sperms ie., MESA/TESE/PESA
Retrograde ejaculation, etc. Speratid’s only |
IVF-ICSI
Remaining sperms must be
cryopreserved for future use.
|
Fertilisaton
failures,
Implantion Failures
Zona-thickening, female>38 years |
IVF-ICSI-AH
(Assisted Hatching)
|
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